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JASON W. MOORE, OPTOMETRIST, LLC

Company Details

Name: JASON W. MOORE, OPTOMETRIST, LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Inactive
Date of registration: 15 Nov 2004 (21 years ago)
Date of dissolution: 11 Dec 2019
Entity Number: 3126099
ZIP code: 14618
County: Monroe
Place of Formation: New York
Address: 1924 MONROE AVE, ROCHESTER, NY, United States, 14618

DOS Process Agent

Name Role Address
JASON W MOORE DOS Process Agent 1924 MONROE AVE, ROCHESTER, NY, United States, 14618

National Provider Identifier

NPI Number:
1316181498

Authorized Person:

Name:
DR. JASON MOORE
Role:
OPTOMETRIST
Phone:

Taxonomy:

Selected Taxonomy:
152WC0802X - Corneal and Contact Management Optometrist
Is Primary:
No
Selected Taxonomy:
152WP0200X - Pediatric Optometrist
Is Primary:
No
Selected Taxonomy:
152WV0400X - Vision Therapy Optometrist
Is Primary:
No
Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Fax:
5854739190

Form 5500 Series

Employer Identification Number (EIN):
201888440
Plan Year:
2017
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
7
Sponsors Telephone Number:

History

Start date End date Type Value
2004-11-15 2012-11-09 Address 1966 MONROE AVENUE, ROCHESTER, NY, 14618, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
191211000769 2019-12-11 CERTIFICATE OF DISSOLUTION 2019-12-11
121109002072 2012-11-09 BIENNIAL STATEMENT 2012-11-01
101104002240 2010-11-04 BIENNIAL STATEMENT 2010-11-01
081029002009 2008-10-29 BIENNIAL STATEMENT 2008-11-01
061024002342 2006-10-24 BIENNIAL STATEMENT 2006-11-01

Date of last update: 29 Mar 2025

Sources: New York Secretary of State